Write a report assessing the feasibility of different techniques for Essay - 5

Write a report assessing the feasibility of different techniques for providing fresh water to arid regions of the world - Essay Example The essence of any system is to maximize on the output and reduce the amount resources gathered to enhance the system. The easy will focus on details of different sources of water collections and recommend on an effective plan to utilize in the Nubian Desert. The focus will be on Nubian Desert. Covering an Area of more than 400,000 Square kilometres, the region remains venerable to water shortage. The arid region is bordered by the large Sahara desert. It has a minimal rainfall of 125mm per year. The desert is located in Sudan North-East part of Africa (world atlas, n.d ). In this model, underground water reserves are exploited and utilized in various ways. The common method of harvesting underground water is through boreholes. Different sites are set and underground water utilized for both domestic and agricultural purposes. The technique requires technical knowhow at the initial stages. This means locating sites to be drilled. After a site is located, the drilling process begins. During this process, both mechanical and human power is required. Limits spaces are need as the size of a borehole is smaller compared to other forms of water harvesting. The availability of this resource will determine the life of the borehole (Thangarajan et al, 2002). Some arid areas experience limited amounts of rainfall per year. With the right mechanism, the water could be collected and used for both agricultural and domestic purposes. In analyzing this aspect, hill slope dams are required. Rainwater is collected down rock hill slopes. Gravity is what is needed to collect water and be pumped into storage tanks. The technique requires a large surface area as water from the hill tops need to be collected over a wider area compared to borehole drilling where a small excavation of the earth is done. The hill slopes dam could only be effective in regions with limited amount of rainfall. In most arid areas, they hardly

Court Brief 2 Assignment Example | Topics and Well Written Essays - 500 words

Court Brief 2 - Assignment Example Is officer Brosseau entitled to qualified immunity for the use of excessive force? The Court of Appeals decided for Brosseau finding that she was entitled to qualified immunity. There was a â€Å"hazy border between excessive and acceptable force† in Brosseau’s actions for which, she was entitled to qualified immunity. Officer Brosseau violated the Fourth Amendment, but she had the cause according to which, â€Å"the suspect poses a threat of serious physical harm, either to the officer or to the others, it is not constitutionally unreasonable to prevent escape by using deadly force† after which, she was not regarded as a violator of law. According to Haugen, Brosseau violated his federal constitutional rights. Glen Tamburello reported officer Brosseau about some stolen tools from his shop and blamed Kenneth Haugen, his former crime partner. Later on, Brosseau came to know that for Haugen’s felony, there was no-bail arrest warrant against him for charges of drugs and other offences. When Haugen was in his mother’s driveway, Tamburello accompanied with Matt Attwood drove to Haugen, where they had a fight after which, a neighbor called 911. Brosseau reached the scene and due to her arrival, Haugen got a chance to get away and hide in a neighbor’s backyard. On a radioed report, Brosseau reached there and found Haugen. Haugen tried to escape by jumping into his jeep. Brosseau doubted him trying to get some weapon. However, he was searching for the keys to drive away. Brosseau ordered Haugen multiple times to get out of the vehicle and also fired several times on the driver’s side window with her hand gun. She even tried to get the keys through the side window and hi t Haugen with the barrel and butt of her gun, but ignoring all her commands and attempts, Haugen started and drove the jeep a little after which, Brosseau shot in his back considering the life of those officers in danger who were on foot. While deciding for

Police Officer Essay Example for Free

Police Officer Essay * Police officers work in partnership with the communities they serve to maintain law and order, protect members of the public and their property, prevent crime, reduce the fear of crime and improve the quality of life for all citizens. They use a wide range of technology to protect individuals, identify the perpetrators of crime and ensure successful prosecutions against those who break the law. Police officers work closely with members of the criminal justice system, social workers, schools, local businesses, health trusts, housing authorities, town planners and community groups to provide advice, education and assistance to those who wish to reduce crime or have been affected by crime. I chose to research this job because I like to help people and the best way I can imagine doing this is becoming a cop. * Many police departments require that applicants be high school graduates; an increasing number expect some college education. Applicants usually must be at least twenty-one years of age and U.S. citizens. In many communities, applicants must meet minimum requirements for height, weight, eyesight, and hearing. Because most police departments fall under civil service regulations, applicants must pass written tests that measure their analytical skills. Rigorous physical examinations and background checks are also required. New recruits often participate in formal classroom training in police academies. After graduating they continue to train on the job with experienced officers for three to twelve months. In small communities there may be no formal training program. Officers are usually encouraged to continue their education by taking college courses in criminal justice. Police Officers usually wear a uniform while on duty. Police work can be dangerous and stressful. Officers often deal with violent criminals and may be injured or killed. They must make quick decisions while on duty, yet be tactful and patient with people who are in trouble or have been victims of terrible crimes and abuse. Police protection is provided twenty-four hours a day, so officers may work outdoors in all kinds of weather. Work shifts are usually rotated; however, officers are on call at all times for emergencies. Overtime may be required. Earnings vary, depending on location. In 2004 the median salary for police officers was $45,210 per year. As officers advanced through the ranks, wages increased. The average minimum salary for police sergeants was $49,895 per year, while the average minimum for lieutenants was $56,115 per year. The following are some of the benefits provided to police officers: Family/Domestic partner health and dental plans for active employees and their eligible dependents. Sick leave disability benefits Sworn employees receive twelve days of 100 percent paid sick leave, five days at 75 percent, and five days at 50 percent, upon hiring. Employees may accumulate up to 100 days at 100 percent, 75 percent, and 50 percent paid sick leave. Employees are eligible for a service-connected disability retirement from the date of graduation from basic training.

Importance of organizational behavior in improving modern efficiency

Importance of organizational behavior in improving modern efficiency The main objective of drafting this document is to justify importance of organizational behavior in todays context; Organizational behavior is targeted towards studying and analyzing behavior of different people within an organization. Organizational behavior is defined as The study and understanding of individual and group behavior, and patterns of structure in order to help improve organizational performance and effectiveness (Laurie J. Mullins, 2004). Therefore studying of organizational behavior is vital to improve efficiency in establishments. Essay will emphasize on following key aspects of Organizational behavior. Leadership Group Behavior Training and development Change management Leadership can be defined as simply getting others to follow; there are many definitions to leadership. It is difficult, therefore, to generalize about leadership, but essentially it is a relationship through which one person influences the behavior or actions of other people. (Laurie J. Mullins, 2004). Leadership directly connected with motivation, interpersonal behavior and the process of communication. Leadership helps to develop team work and increase integrity within employees. Good leadership is important in the time of change; leaders should able to change peoples perception from identifying change as a threat to see it as an existing challenge (Laurie J. Mullins, 2004). The key aspects discussed above, depicts the importance of leadership within an organization. Everyone in an organization belongs to one or more Group. Work is more group based activity and if an organization to be successful, it requires good team work. A group can be defined as any number of people who (1) interact with one another; (2) are psychologically aware of one another; and (3) perceive themselves to be a group. (Laurie J. Mullins, 2004). Groups are the moral fiber of an organization and it is the key to performance. Not only members of groups should work efficient to gain organizational objectives but groups should work together with other groups to maximize the efficiency in the establishment. Teamwork is important within groups and following are some of the competencies that can be gained by teamwork;( Laurie J. Mullins, 2004). Productivity can be improved Quality of work and innovation will be maximized Technological advantages Employee motivation and commitment will be improved. Training and development is one of the most vital aspects to increase performance and motivation within employees. It is well-known that training directly affects success of any organization. Organizational training is important to keep employees up to date with technology and to be knowledgeable with relevant job that they perform. Training also assists employees in career advancement and to improve their motivation. Following are some of the advantages individuals and organizations can gain by performing training and development ;( Laurie J. Mullins, 2004). Increase motivation, confidence and commitment of the employees. Recognition and promotions Satisfaction Improve quality and skills of staff Organizations are widely get affected by the external environmental aspects. Companies should adopt these external factors to ensure success in the business. These factors can be technology, government policies, globalization etc. In order to acclimatize to these external environmental factors, it is vital to have proper change management practices in place. According to John F. Kennedy Change is the law of life and those who look only to the past or present are certain to miss the future. This also can be applied to organizations, Example: It is vital for organizations to replace their exiting outdated technology along with the latest technology available in the world in order to maintain sustainability of the business. Change also can be raised within the organization itself. Literature Review Hellriegel, Slocum and Woodman suggests that: à ¢Ã¢â€š ¬Ã‚ ¦ One way to recognize why people behave as they do at work is to view an organization as an Iceberg. What sinks ships isnt always what sailors can see, but what they cant see. Following are the key areas to be discussed during understanding organizational behavior; (Laurie J. Mullins, 2004). The behavior of people The process of management The Organizational context in which the process of management takes place. organizational processes and the execution of work; interactions with the external environment of which the organization is part From the above framework we can identify 4 main aspects influence on organizational behavior; the individual, the group, the organization and the environment. Any organization consists with individuals; individuals are main feature of any establishment. If needs of an individual and demands of the organization is incompatible, this can result in conflicts (Laurie J. Mullins, 2004). Therefore it is a responsibility of the management to integrate individual and organization to avoid frustration and conflicts. Groups are gateway to performance in any organization. It is a fact that almost every individual within an organization is a member of a group. Group has a major capability of influencing behavior of an organization; therefore it is important to understand group structure and behavior in order to maximize performance in an establishment. Individuals and groups interact by using the structure of an organization; the organization structure is defined by management to meet goals within an organization. External environment affects the organization in many different ways, for an example new technologies will lead to change in the organization. Interacting with environment will lead to opportunities and risks within the organization. Leadership There are many ways to examine leadership. Following are some of the approaches; The qualities approach The functional or group approach Styles of leadership Transformational leadership The qualities approach is more concern about the persons, not the job itself. It suggests that attention should give to select leaders than training them. Qualities or traits approach depicts that Leaders are born and not made. The functional (Group) approach focuses not on the personality, but on the functions and contents of leadership. Unlike The qualities approach, functional approach believes that leadership could be learnt and developed. Leadership style is the way in which the functions of leadership are carried out, the way in which the manager typically behaves towards members of the group. (Laurie J. Mullins, 2004). Styles of managerial leadership can be categorized into three broader classifications; The Authoritarian style: Power is with the manager. All the interactions are made via the manager. Manager is making the decisions and less opportunity for group members to take decisions. The Democratic style: Power is more within the group. Leadership functions and decisions are made within the group and the manager is a member of the group. Laissez-faire style: Manager is basically observing the members of the group working on their own. This is also called genuine style. Group members are given with freedom to make their own decisions and to do what they think is best. However leader must be readily available for any help needed. Transformational leadership is more concern about how leaders revitalize or transform organizations. Transformational leadership is scattering higher level of motivation and commitments among followers. Transformational leadership consists with four basic components; Idealized influence: Personality of the leader and the respect of the followers. Inspirational motivation: the behavior of the leader which provides meaning and challenge to the work of the followers. Intellectual stimulation: leaders who are innovative in finding new approaches for problem solving. Individualized consideration: Leaders who put attention on developments of subordinates. Group Behavior There can be two types of groups within an organization; Formal Groups Formal Groups are part of organizational structure. Main objective of structuring formal groups within an organization is to achieve division of work and organizational objectives. Example: grouping employees with specific skills into a one group. Furthermore individuals with same status within an organization could form a formal group, i.e. Managers within an establishment can form separate formal group. Informal Groups There can be groups within an organization with informal structure. These groups are formed with social relationships and individual relationships. Objective of informal groups are to satisfy physiological needs and social needs. Informal groups consists with people from different parts of the organization and different status levels. Following are the reasons to form groups within an establishment, (Laurie J. Mullins, 2004). If specific task cannot be completed without relating multiple individuals. To avoid conflicts within members, example: by sharing unpopular tasks. Individuals to feel belonging to a group within an organization. To follow correct behavior in an ambiguous situation Protect their self from outside pressure and threats. Cohesive groups will always generate benefits for the organization. Following are some of the factors affecting group performance and cohesiveness. (Laurie J. Mullins, 2004). Membership: When groups are too large it is difficult to maintain the cohesiveness. It is always best to have manageable amount of members in a group. Work environment: Individuals with similar job descriptions, sharing a common task with facing common problem will increase cohesiveness within an organization. Furthermore facilitating proper communication in the work environment directly affects the performance and cohesiveness of an organization. Organizational factors: Factors like how manager encourage group will directly affects on group behavior. Group development and maturity: Cohesiveness of a group also depends on how groups carryout task in each stage before executing the real one. Training and Development Training should consider as an investment in employees (Laurie J. Mullins, 2004). It is crucial to have a proper plan to gain maximum advantages over training. Therefore planned and systematic approach in training plays a key role in any organization. Planned and systematic approach Following are some of the key points involved in planned and systematic approach (Laurie J. Mullins, 2004); There should be a commitment from entire organization for training. Assessment of training needs to be evaluated. Staff should feel the involvement. A clear set of objectives and policy should define for the training. Carefully plan the training program Select most appropriate method of training Link external courses and training programs for the system. There should be an effective and proper system for review and evaluation. Evaluation should be related to objectives. Change Management It is a well known fact that people do not accept change easily. Therefore managers should clearly identify reasons for resistant and initiate change by adopting appropriate strategy. According to Christensen and Overdorf , there are three main factors affect organizational responses to change; (Laurie J. Mullins, 2004). Resources: Access to high quality resources increases chances of people to accept change. Processes: The pattern of communication, interaction, coordination and decision making to transform resources into products and services. Values: Standards how employee set priorities. There are three main ways managers could use to adopt with organizational change; (Laurie J. Mullins, 2004). Create new organizational structure Split new organizational from the existing one and define new processes and values. Gain access to a new organization whose processes and values are similar to required change. Furthermore Kotter and Cohn suggests following eight steps for successful change; (Laurie J. Mullins, 2004). Create sense of urgency Build a guiding team Create visions Communicate the vision and strategy Empower action and remove obstacles Produce Short-term wins to create credibility Dont let up but maintain the momentum Make change stick Relevance in todays context Leadership in todays context Yesterdays idea of the boss, who became the boss because he or she knew more than the person working for them, is yesterdays manager. Tomorrows person leads through a vision, a shared set of values, and a shared objective. Jack Welch Leadership is essential in any organization to boost team work and integrity within individuals. Todays Establishments are focuses on discovering more leaders than appointing managers to maintain sustainability of the business. Organizations should emphasis to scatter many leaders across the establishment than suggesting one leader on the top of the hierarchy. In todays scenario companies are more concern about discovering leaders than trying to train individuals without any leadership qualities, i.e. qualities approach of leadership has become the trend of todays organizations. However identifying leaders within an organization has become a major challenge in todays context. To overcome this challenge organizations are trying various methods to discover true leaders, one of the best examples from todays context is Apples Store Leader Program, where people will given with leadership opportunities after 24 month operational program covering all the aspects of managing and operating an Apple Store. (Apple Jobs at Apple Apple Store Leader Program (us). 2011) Ray Croc quoted that The quality of a leader is reflected in the standards they set for themselves. A good leader should continue to amplify his/her knowledge by experience and training. Group behavior in todays context Today organizations are captivating many advantages over forming formal groups within their establishments. By providing structure of division of work and responsibilities within the company, employees are with clear agreement between them on their duties and responsibilities. This will lead to achieve company objectives more efficiently. Furthermore individuals with specific expert knowledge can be added into one group to gain more productivity end of the day. Another advantage of grouping employees is that unpopular tasks can be shared among persons, this leads to employee motivation. In todays context this strategy is widely used within organizations to maximize productivity and motivate employees. Todays organizations are keener into forming Strategic Business Units (SBU) within their establishments. SBU can be defined as Autonomous  division  or  organizational unit, small enough to be  flexible  and large enough to  exercise  control  over most of the  factors  affecting its  long-term  performance. Because SBUs are more agile (and usually have  independent missions  and  objectives), they  allow  the owning conglomerate  to respond quickly to changing  economic  or market  situations. (Strategic business unit (SBU) definition. 2011.). Therefore each SBU is treated as a one group within the company with different objectives. Example: Tacony Corporation is today organized into four strategic business units: Sewing, Home Floor Care, Commercial Floor Care and Ceiling Fans Lighting.( Tacony Corporation: Strategic Business Units) Todays Training and Development Most of the organizations are treating their employees as the most valuable asset. Therefore employers are more concern about personal development of each and every employee. Every organization allocate significant amount of money for employee training programs. Following graph illustrate Sonys Employee Training Programs in Japan in Fiscal Year 2009 (Sony Global Personnel Development. 2011) However for organizations to get maximum return out of an employee training program, it is essential to follow a Planned and Systematic approach for each training program. Training needs can be identified within the organization by introducing a Training Requisition form, which can be made available to every employee of the company. Filled Training requisition forms will be evaluated by employees line manager and forward it to HR department. Alternatively, organizations can identify required training programs and maintain Annual Training Calendar to keep track of each program. Every employee can be given with a feedback form to fill and submit to HR department to accomplish evaluation and review process. Change Management in Todays context Change Management is one of the most widely discussed topics in todays context. In order to successfully implement change within an organization, appropriate change management practices are very essential. Following are some of the challenges organizations face before, during and after implementing of change; Resistant to change by employees Insufficient time Economical difficulties Etc Most of the organizations perform change due to new technologies, limited staff participation, limited resources etc. Todays organizations are using strategy of creating new culture within company to successfully implement change. Furthermore organizations are keener into providing high quality resources along with the change. Subsequently, employee resistant to change will reduce by significant percentage. Implementation of change should happen gradually within organizations. Following graph illustrate the gradual implementation of change in todays organizational context; If the change is large scale, most of the todays organizations are outsourcing the change management process to a consulting agency. These agencies are with subject matter experts to cater client requirement from the initiation to the post implementation of the project. Example; Accenture US. Conclusion For an organization to be successful, all the above discussed key aspects of organizational behavior should utilized within the establishment. Studying of organizational behavior has become one of the most essential topics in todays context. Organizational behavior helps managers to understand individuals better so they can improve productivity of the organization.

Of Mice and Men written by John Steinbeck and The Ostler written by Wilkie Collins :: English Literature

The two stories iam going to compare are Of Mice and Men written by John Steinbeck in 1937 and The Ostler written by Wilkie Collins in 1985. For this assignment I am going to compare and contrast the themes and languages of two poems. The two poems I am going to describe are 'Old Father' written by Hugh Boatswain and 'Island Man' by Grace Nicholas. Old Father is about a certain immigrant who lives in England in the winter of 1959. The poem is written in a West-Indian dialect. The poem is about a black man who denies his roots and wants to become like a 'White Man'. He does this by acting like them for example he wears white clothes also he likes it in England and to stay there. Island Man is about a certain immigrant who lives in Neasdon, in London. He has a dream about waking up in his own land in the Caribbean Sea, hearing the sound of the sea. This immigrant does not like London and prefers living back home in the Caribbean. The poem is written in one long dialect. There is only one similarity in the theme of both poems. They both are poems about a certain person who is different to society. Old Father is about a black man living in England denying his roots: "That don't like serving black people." This emphasises that, he has changed into someone different, someone who he is not. It also suggests that he is trying to impersonate a 'white man'. Another way he does this, is by insulting black people: "And he crack joke with them white people on we." This suggests that he is showing them that he is not a black man. He may look like one, but in his own mind he is not. In my opinion, I would say he loves living in London. However, we have no evidence why he does not go back to the Caribbean. There are also a series of differences between the two poems in the themes between the two poems. In Old Father we realise that he loves England: "His roots have no meaning now. " So he likes it in England and doesn't want to leave England. He has also forgotten who he is. He is trying to be like the 'White Man', not the black man that he really is. We also see that he has changed into someone different: "Coloured girls no good for he." This shows that he has totally changed into someone different, as he is coloured and not going out with coloured girls.

SHakespeare :: essays research papers

William Shakespeare was surely the world's most performed and admired playwright. He was well known in his time, and like many artists his fame continues to grow after his death. His plays dealt with many controversial topics, from racism to witchcraft- perhaps adding to the appeal of his plays in general. Shakespeare led an amazing life for his time, a time when actors and actresses were looked down upon and discriminated. He helped to change this stereotype and altered the world perception of theatre forever. In this report, I will outline many areas of Shakespeare’s life, including His birth, marriage and children, parents and family, education, as well as his death. William Shakespeare the famous playwright was born in April, 1564 in Stratford-upon-Avon, Warwickshire, about 100 miles northwest of London. According to the records of Stratford's Holy Trinity Church, he was baptized on April 26. It was customary to baptize infants within days of birth, and because Shakespeare died 52 years later on April 23, and-most significantly-since April 23 is St. George's day, the patron saint of England, it has become traditional to assign the birth day of England's most famous poet to April 23. As with most sixteenth century births, the actual day was never officially recorded, but along with most remarkable men the power of myth and symmetry has proven irresistible, so April 23 it has become. Shakespeare's parents were John and Mary Shakespeare, who lived in Henley Street, in Stratford. John, the son of Richard Shakespeare, was a whittawer (a maker, worker, and seller of leather goods such as purses, belts and gloves) and a dealer in agricultural commodities. He was a solid, middle class citizen at the time of William's birth, and a man on the rise. He served in Stratford government successively as a member of the Council (1557), constable (1558), chamberlain (1561), alderman (1565), and finally high bailiff (1568)--the equivalent of town mayor. About 1577 John Shakespeare's fortunes began to decline for unknown reasons. There are records of some debts he may have had, but of course, none can be verified for certain. In 1586 he was replaced as alderman for shirking responsibilities, and in 1592 was reprimanded for not coming to church for fear of process of debt. Records for the Stratford grammar school from the time Shakespeare would have attended have been lost, but attend he undoubtedly did since the school was built and maintained expressly for the purpose of educating the sons of prominent citizens.

Basic Life Support Essay

Basic Life Support or BLS is that level of medical care for those in a life-threatening situation until the arrival of proper medical care. BLS can be provided either by emergency medical personnel, trained medical professionals or by laymen trained in BLS. The techniques in BLS are mainly focused on airway maintenance, breathing and circulation. Use of automated external fibrillator or AED for defibrillation is a recent advance in BLS and has resulted in improved cardiac survival in cardiac arrest cases. This new intervention is important because majority of the deaths in cardiac arrest cases are due to ventricular fibrillation which can be reverted using a defibrillator in the electrical phase of ventricular fibrillation. Thus, basic life support consists of chest compressions and ventilations and also early defibrillation. Advanced Life Support or ALS is that form of medical care prior to reaching hospital and which can be delivered only by trained medical personnel or paramedics. This form of medical care involves many invasive and non-invasive procedures like transcutaneous pacing, intravenous cannulation, cardiac monitoring cardiac defibrillation, intraosseous infusion, needle or surgical cricothyrotomy, , advanced medications through enteral and parenteral routes and endotracheal intubation. Whether BLS or ALS is critical in improving outcomes in cardiac patients is a much debated topic. According to a multicentric controlled study conducted by Stiell et al (2004) on the benefits of advanced life support in out-of-hospital cardiac arrest patients, advanced life support interventions did not have any added advantage over basic life support. The study revealed that when compared to BLS with rapid defibrillation programs, ALS programs did not have any added benefits. The authors recommended that cardiopulmonary resuscitation by bystanders and rapid-defibrillation responses must be encouraged and should be a priority for EMS resources. The study concluded that though advanced life support increased the rate of admission to hospital significantly; the rate of survival did not improve, placing more importance on basic life support. In a recent study by Markel et al (2009), the authors aimed to study the outcomes in cardiac arrest patients after they were delivered with basic life support and advanced life support. Their study revealed that BLS-to-ALS survival was an important predictor of survival to hospital discharge. Every minute of decrease in the arrival of ALS following delivery of BLS was associated with 4% decrease in survival chances. The authors concluded that shorter BLS-to-ALS time is associated with increased survival chances and hence ALS interventions must be utilized for additional benefits. However, the researchers pressed the need for early CPR and defibrillation which is BLS. Different reports were produced by an old study by Bissell et al (1998). This study reviewed extensive literature pertaining to delivery of ALS and BLS to cardiac arrest patients. Of the 51 articles reviewed, eight articles reported that ALS was in no way better than BLS; seven reported that ALS was effective in some application and the remaining articles concluded that ALS was superior to BLS. The researchers concluded that ALS may be clinically superior to BLS in some patients with certain pathologies. Despite different clinical opinions, it can be said that BLS plays a critical role in the survival chances of a cardiac arrest patient. There are 2 reasons for such an impression. 1. Any bystander can provide BLS if he or she has received some amount of training in BLS. 2. Most of the cardiac arrest cases are due to ventricular fibrillation and defibrillation is â€Å"the treatment† for that condition Current studies being conducted into new methods, drugs and/or equipment being studied to improve cardiac survival. Over the past few decades, many new methods, drugs and interventions have been introduced to provide optimum support for patients with cardiac arrest so that the chances of survival are enhanced. Every year, newer approaches are coming up to provide the best possible care for cardiac patients. This article explores the recent trends in cardiopulmonary resuscitation of cardiac patients in a prehospital setting. Latest international guidelines for cardiopulmonary resuscitation have stressed the need uninterrupted cardiopulmonary resuscitation or CPR so that there is continuous delivery of adequate coronary artery perfusion pressure which is one of the key determinants for return of spontaneous circulation. To facilitate uninterrupted CPR, a new concept of â€Å"hands on† defibrillation has been developed. Research has shown that when CPR is continued with gloved hands during defibrillation, there is absent or minimal shock to the resuscitator (Roppolo et al, 2009). According to the American Heart Association (2005), in children, the chest compressions must be provided at the rate of 100 per minute without any interruption for respiration. According to a study by Bobrow et al (2008), implementation of minimally interrupted cardiac resuscitation increases the survival-to-hospital discharge in those who suffered cardiac arrest out of the hospital. A recent research proved that ‘noise reduction’ automated external defibrillator and cardiac monitoring analysis can allow certain advanced devices to distinguish a CPR infarct from V-fib (Roppolo et al, 2009). Another new approach aimed at cardiac survival is the cardiocerebral resuscitation or CCR. This method is mainly composed of 3 aspects: continuous chest compression by bystander, new EMS algorithm and vigorous post-resuscitation care. There is no mouth-to-mouth breathing in this approach. The approach also favours defibrillation, either in the early or late stages (Ewy and Kern, 2009). Recently an automated, load-distributing band chest compression device has been introduced for cardiac resuscitation in a prehospital setting. Ong et al (2006) compared the outcomes of resuscitation between manual and automated cardiac resuscitation. Their study concluded that automated cardiac resuscitation use by EMS is associated with better outcomes. The previous decade has seen much research in the combined use of active compression decompression CPR and impedance threshold device. Frascone et al (2004) reviewed literature pertaining to this emerging therapy. The authors concluded that use of this new technology should be encouraged as this combination therapy provided optimum vital organ blood flow. References American Heart Association. (2005). 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: pediatric basic life support. Pediatrics, 117(5), e989-1004. Bobrow, B. J. , Clark, L. L. , and Ewy, G. A. (2008). Minimally interrupted cardiac resuscitation by emergency medical services for out-of-hospital cardiac arrest. JAMA, 299(10), 1158-65. Bissell, R. A. , Eslinger, D. G. , and Zimmerman, L. (1998). The Efficacy of Advanced Life Support: A Review of the Literature. Prehospital and Disaster Medicine, 13(1), 69- 79. Ewy, G. A. , and Kern, K. B. (2009). Recent advances in cardiopulmonary resuscitation: cardiocerebral resuscitation. J Am Coll Cardiol. , 53(2), 149-57. Frascone RJ, Bitz D, Lurie K. (2004). Combination of active compression decompression cardiopulmonary resuscitation and the inspiratory impedance threshold device: state of the art. Curr Opin Crit Care, 10(3), 193-201. Markel, D. T. , Gold, L. S. , Farenbuch, C. E. , and Eisenberg, M. S. (2009). Prompt Advanced Life Support Improves Survival from Ventricular Fibrillation. Prehospital Emergency care, 13(3), 329- 334. Ong, M. E. , Ornato, J. P. , Edwards, D. P. (2006). Use of an automated, load-distributing band chest compression device for out-of-hospital cardiac arrest resuscitation. JAMA, 295(22), 2629-37. Roppolo, L. P. , Wigginton, J. G. , and Pepe, P. E. (2009). Minerva Anesthesiol, 75301-5. Stiell, I. G. , Wells, G. A. , and Field, B. (2004). Advanced Cardiac Life Support in Out-of-Hospital Cardiac Arrest. The New England Journal of Medicine, 351, 647- 656. Appendix Please download articles from these links provided: http://www. ncbi. nlm. nih. gov/pubmed/16651298? ordinalpos=1&itool=EntrezSystem2. PEntrez. Pubmed. Pubmed_ResultsPanel. Pubmed_DiscoveryPanel. Pubmed_Discovery_RA&linkpos=5&log$=relatedarticles&logdbfrom=pubmed